Shirleen Salafrania Gubuan, NP
Nurse Practitioner · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location · Quality Care Solution Inc · 12 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Shirleen Salafrania Gubuan’s office at (832) 618-8479 to ask if they take your plan before you enroll.
Original Medicare doctor bills
$371,682
Medicare paid this office $371,682 for 481 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 400 | $205,188 | $84 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 398 | $133,336 | $59 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 137 | $19,099 | $120 |
| Advance care planning, first 30 minutes | 95 | $8,072 | $65 |
| Nursing facility discharge management, more than 30 minutes | 54 | $5,883 | $101 |
Who their Medicare patients are
481 Original Medicare patients in 2024. Average age 76 · Under 65 15% · 85 and older 26% · Women 53% · Also on Medicaid 88% · Health risk score 3.39. Sicker patients than 9 in 10 peers; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 75% · Depression 69% · Dementia 64% · Diabetes 55% · COPD 47% · Coronary heart disease 42% · Heart failure 37% · Atrial fibrillation 35% · Chronic kidney disease 33% · Stroke 30% · Cancer 10%.
The office billed $898,230, Medicare allowed $467,601 and paid $371,682; for 5,045 services of 6 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 481 | 5,045 | 76 | 3.39 | $898,230 | $371,682 |
| 2023 | 508 | 6,260 | 77 | 3.86 | $1,107,625 | $454,308 |
| 2022 | 523 | 4,844 | 77 | 2.69 | $850,875 | $308,514 |
| 2021 | 114 | 362 | 73 | 2.62 | $66,963 | $24,685 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 5 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 428 | $232,803 | $83 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 462 | $165,992 | $58 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 160 | $24,164 | $120 |
| Advance care planning, first 30 minutes | 201 | $18,411 | $65 |
| Nursing facility discharge management, more than 30 minutes | 110 | $12,733 | $100 |
2022: 5 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 443 | $135,679 | $71 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 459 | $127,295 | $53 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 182 | $21,861 | $103 |
| Advance care planning, first 30 minutes | 182 | $15,192 | $66 |
| Nursing facility discharge management, more than 30 minutes | 89 | $8,102 | $79 |
2021: 5 services
| Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes | 77 | $11,501 | $73 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more | 80 | $7,756 | $55 |
| Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes | 21 | $2,258 | $108 |
| Advance care planning, first 30 minutes | 23 | $1,842 | $68 |
| Nursing facility discharge management, more than 30 minutes | 12 | $1,160 | $83 |
Medicaid work
$7,230 in 2024
Medicaid paid $7,230 for 2,328 billed services this clinician did in 2024, up to 114 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES | 1,131 | $5,643 |
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 1,119 | $1,344 |
| SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES | 26 | $151 |
| Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate | 52 | $92 |
| 2024 | 2,328 | 4 | 114 | $7,230 |
| 2023 | 3,669 | 5 | 129 | $9,773 |
| 2022 | 2,360 | 4 | 100 | $11,730 |
| 2021 | 124 | 2 | 40 | $108 |
See the largest Medicaid services in earlier years
2023
| SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES | 1,749 | $5,208 |
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 1,792 | $3,348 |
| Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate | 91 | $607 |
| SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES | 24 | $354 |
| Nursing facility discharge management; more than 30 minutes total time on the date of the encounter | 13 | $256 |
2022
| SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES | 1,032 | $5,713 |
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 1,235 | $5,231 |
| Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate | 64 | $474 |
| SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES | 29 | $312 |
2021
| SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES | 66 | $80 |
| SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES | 58 | $28 |
Drugs they prescribed that Part D paid
$253,908
Pharmacies billed $253,908 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 9% of their Part D prescriptions (253 of 2,846) in 2024. Above the middle of the specialty; the typical nurse practitioner clinician is at 0%. Long-acting opioids: 6% of their opioid prescriptions.
2,142 generic and 687 brand-name prescriptions · $253,908 in drug cost · 98 antibiotic prescriptions to 50 people · 135 antipsychotic prescriptions to people over 65.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Eliquis | 74 | $21,976 | $297 |
| Jardiance | 69 | $20,395 | $296 |
| Trulicity | 22 | $16,612 | $755 |
| Lacosamide | 47 | $15,252 | $325 |
| Xarelto | 38 | $10,693 | $281 |
See all 67 drugs
| Eliquis | None | 74 | $21,976 | $297 |
| Jardiance | None | 69 | $20,395 | $296 |
| Trulicity | None | 22 | $16,612 | $755 |
| Lacosamide | None | 47 | $15,252 | $325 |
| Xarelto | None | 38 | $10,693 | $281 |
| Rytary | Parkinson's | 20 | $9,868 | $493 |
| Januvia | None | 19 | $5,373 | $283 |
| Enoxaparin | None | 18 | $3,335 | $185 |
| Risperidone | None | 65 | $3,228 | $50 |
| Levemir Flexpen | None | 15 | $2,619 | $175 |
| Ipratropium-Albuterol | None | 65 | $2,569 | $40 |
| Ondansetron Odt | None | 44 | $2,467 | $56 |
| Lantus | None | 29 | $2,411 | $83 |
| Atorvastatin | None | 129 | $2,347 | $18 |
| Olanzapine | None | 42 | $2,339 | $56 |
| Levetiracetam | None | 21 | $1,965 | $94 |
| Oxycodone | None | 91 | $1,774 | $19 |
| Lactulose | None | 32 | $1,744 | $55 |
| Quetiapine | None | 39 | $1,696 | $43 |
| Memantine | None | 15 | $1,638 | $109 |
| Baclofen | None | 36 | $1,612 | $45 |
| Hydrocodone-Acetaminophen | None | 81 | $1,501 | $19 |
| Gabapentin | None | 55 | $1,350 | $25 |
| Divalproex | None | 41 | $1,345 | $33 |
| Levothyroxine | None | 117 | $1,184 | $10 |
| Metformin | None | 63 | $1,109 | $18 |
| Tramadol | None | 40 | $1,089 | $27 |
| Permethrin | None | 12 | $1,065 | $89 |
| Valproic Acid | None | 22 | $1,005 | $46 |
| Famotidine | None | 56 | $1,001 | $18 |
| Colchicine | None | 12 | $958 | $80 |
| Albuterol Sulfate Hfa | None | 19 | $946 | $50 |
| Losartan | None | 56 | $903 | $16 |
| Pregabalin | None | 28 | $848 | $30 |
| Carbidopa-Levodopa | None | 16 | $848 | $53 |
| Tamsulosin | None | 28 | $843 | $30 |
| Furosemide | None | 73 | $757 | $10 |
| Dantrolene | None | 13 | $697 | $54 |
| Amlodipine Besylate | None | 44 | $675 | $15 |
| Lisinopril | None | 44 | $634 | $14 |
| Vancomycin | None | 15 | $628 | $42 |
| Mirtazapine | None | 17 | $626 | $37 |
| Hydroxyzine | None | 30 | $611 | $20 |
| Metoprolol | None | 20 | $581 | $29 |
| Lorazepam | None | 46 | $569 | $12 |
| Dorzolamide-Timolol | None | 11 | $569 | $52 |
| Donepezil | None | 30 | $531 | $18 |
| Hydralazine | None | 17 | $501 | $29 |
| Latanoprost | None | 15 | $489 | $33 |
| Oxycodone-Acetaminophen | None | 20 | $465 | $23 |
| Triamcinolone Acetonide | None | 35 | $463 | $13 |
| Lantus Solostar | None | 17 | $432 | $25 |
| Fluoxetine | None | 19 | $410 | $22 |
| Potassium Chloride | None | 24 | $407 | $17 |
| Pantoprazole | None | 17 | $407 | $24 |
| Metoprolol | None | 23 | $392 | $17 |
| Trazodone | None | 19 | $364 | $19 |
| Finasteride | None | 11 | $356 | $32 |
| Diclofenac | None | 15 | $347 | $23 |
| Nystatin | None | 11 | $314 | $29 |
| Clonazepam | None | 23 | $295 | $13 |
| Ciprofloxacin | None | 13 | $287 | $22 |
| Sertraline | None | 15 | $205 | $14 |
| Cephalexin | None | 12 | $203 | $17 |
| Bupropion | None | 11 | $183 | $17 |
| Sulfamethoxazole-Trimethoprim | None | 14 | $120 | $9 |
| Sodium Chloride | None | 11 | $87 | $8 |
Year by year
| 2024 | 2,846 | 273 | 9% (253) | 24% | $253,908 |
| 2023 | 2,095 | 220 | 9% (195) | 19% | $179,674 |
| 2022 | 902 | 155 | 8% (68) | None | $40,461 |
| 2021 | 14 | 12 | None | None | $1,183 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 61 drugs
| Ingrezza | 17 | $61,249 | $3,603 |
| Trulicity | 13 | $9,387 | $722 |
| Jardiance | 27 | $8,340 | $309 |
| Lacosamide | 20 | $7,406 | $370 |
| Xarelto | 19 | $4,999 | $263 |
| Eliquis | 13 | $4,296 | $330 |
| Januvia | 12 | $3,289 | $274 |
| Baclofen | 53 | $2,916 | $55 |
| Potassium Chloride | 24 | $1,864 | $78 |
| Olanzapine | 33 | $1,611 | $49 |
| Levothyroxine | 124 | $1,366 | $11 |
| Pregabalin | 16 | $1,301 | $81 |
| Gabapentin | 51 | $1,166 | $23 |
| Oxycodone | 80 | $1,126 | $14 |
| Diclofenac | 41 | $1,084 | $26 |
| Permethrin | 13 | $1,009 | $78 |
| Famotidine | 94 | $966 | $10 |
| Atorvastatin | 53 | $953 | $18 |
| Metoprolol | 54 | $891 | $16 |
| Hydrocodone-Acetaminophen | 64 | $859 | $13 |
| Mirtazapine | 31 | $828 | $27 |
| Carvedilol | 18 | $804 | $45 |
| Nystop | 13 | $786 | $60 |
| Tamsulosin | 27 | $778 | $29 |
| Divalproex | 22 | $764 | $35 |
| Donepezil | 22 | $682 | $31 |
| Metformin | 55 | $675 | $12 |
| Lorazepam | 57 | $650 | $11 |
| Memantine | 13 | $635 | $49 |
| Valproic Acid | 16 | $614 | $38 |
| Hydralazine | 26 | $595 | $23 |
| Triamcinolone Acetonide | 27 | $591 | $22 |
| Losartan | 37 | $551 | $15 |
| Metoprolol | 13 | $540 | $42 |
| Amoxicillin-Clavulanate Potass | 20 | $532 | $27 |
| Risperidone | 43 | $508 | $12 |
| Quetiapine | 32 | $506 | $16 |
| Latanoprost | 18 | $486 | $27 |
| Bumetanide | 19 | $448 | $24 |
| Ondansetron Odt | 19 | $428 | $23 |
| Cephalexin | 22 | $382 | $17 |
| Amlodipine Besylate | 23 | $354 | $15 |
| Finasteride | 19 | $311 | $16 |
| Pantoprazole | 11 | $291 | $26 |
| Furosemide | 46 | $253 | $6 |
| Amiodarone | 12 | $224 | $19 |
| Lisinopril | 21 | $214 | $10 |
| Simvastatin | 16 | $212 | $13 |
| Amitriptyline | 17 | $191 | $11 |
| Clonidine | 13 | $191 | $15 |
| Ciprofloxacin | 11 | $172 | $16 |
| Omeprazole | 15 | $171 | $11 |
| Hydroxyzine | 11 | $167 | $15 |
| Warfarin | 13 | $159 | $12 |
| Sulfamethoxazole-Trimethoprim | 14 | $153 | $11 |
| Tizanidine | 12 | $138 | $11 |
| Brimonidine | 12 | $124 | $10 |
| Trazodone | 13 | $113 | $9 |
| Morphine Sulfate Er | 11 | $100 | $9 |
| Levofloxacin | 14 | $90 | $6 |
| Fluoxetine | 13 | $87 | $7 |
2022: 19 drugs
| Eliquis | 14 | $3,727 | $266 |
| Daliresp | 12 | $2,400 | $200 |
| Mirtazapine | 35 | $1,835 | $52 |
| Gabapentin | 41 | $1,311 | $32 |
| Famotidine | 88 | $1,014 | $12 |
| Divalproex | 20 | $1,010 | $50 |
| Quetiapine | 17 | $731 | $43 |
| Levothyroxine | 55 | $649 | $12 |
| Oxycodone | 30 | $640 | $21 |
| Hydrocodone-Acetaminophen | 25 | $496 | $20 |
| Triamcinolone Acetonide | 18 | $434 | $24 |
| Ondansetron Odt | 12 | $381 | $32 |
| Metoprolol | 26 | $331 | $13 |
| Trazodone | 16 | $272 | $17 |
| Diclofenac | 13 | $249 | $19 |
| Amiodarone | 16 | $241 | $15 |
| Hydroxyzine | 15 | $226 | $15 |
| Metformin | 21 | $183 | $9 |
| Prednisone | 11 | $109 | $10 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 25.8 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1356984637
- Licence
- CA 2019051297
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 363LA2100X (363LA2100X)
- Mailing address
- 11 Takko Machi Ln, Gilroy, CA, 95020
- NPI first listed
- 2019-10-19
- NPI last updated
- 2019-10-19
This is when the NPI record was last certified, not a medical board exam.